CMS Price Transparency Data

Electrocardiogram (EKG, tracing only)

Facility: Cheshire Medical Center

Billing Code: 93005 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 93005
Insurance Median: $151
Cash Discount Price: $94
vs. Medicare Baseline: 2.51x Medicare

The contracted insurance negotiated median rate for a Electrocardiogram (EKG, tracing only) at Cheshire Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $60.27, this hospital’s rate is 2.51x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$60.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $60.27 (100%)

Cash / Self-Pay: $94 (156%)

Insurance Median: $151 (251%)

Cash: $94 (156% of Medicare)

Ins. Median: $151 (251% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $60.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 251% of the Medicare baseline (a markup of 151%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ambetter / Centene	$7 - $55	12%
Blue Cross Blue Shield	$7 - $293	12%
Cigna	$7 - $183	12%
Martin'S Point Generations Advantage	$7 - $62	12%
Martin'S Point Health Care	$7 - $62	12%
Mvp	$7 - $183	12%
UnitedHealthcare	$7 - $280	12%
Wellcare Health Plans	$7 - $62	12%
Wellsense Health Plan	$7 - $66	12%
Amerihealth Caritas Nh	$9 - $45	15%
Granite State Health Plan	$9 - $62	15%
Aetna	$11 - $252	18%
Tufts Health Plan	$19 - $236	32%
Mass General Brigham Health Plan	$51 - $369	85%
Harvard Pilgrim Health Care Of Ne	$67 - $168	111%
Maine Community Health Options	$141 - $166	234%
First Health/Hcvm	$266 - $314	441%
Phcs	$282 - $332	468%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $94.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 93005.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cheshire Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 93005.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.